Individual
KERRY LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6 AUER CT, EAST BRUNSWICK, NJ 08816-5828
(732) 476-4711
Mailing address
28 MARY ELLEN DR, EDISON, NJ 08820-1119
(732) 476-4711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37AC00212100
NJ
101YP2500X
Professional Counselor
Primary
37PC00575500
NJ
Other
Enumeration date
05/09/2016
Last updated
07/21/2022
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